GLP-1 medications such as semaglutide (Ozempic, Wegovy) and tirzepatide (Mounjaro) have transformed weight management, but many users notice changes in their facial appearance alongside rapid weight loss — hollow cheeks, sagging skin, deepened nasolabial folds, and a more aged or fatigued look. This is commonly referred to as "Ozempic face." This article explains what causes it and how VOL.U.LIFT™ is designed to address it.
What causes GLP-1 facial changes?
Facial structure relies on subcutaneous fat pads that support the cheeks, temples, and jawline. When GLP-1 medications accelerate weight loss, these fat compartments reduce — often faster than skin elasticity and collagen production can adapt. The result is visible deflation, laxity, and a loss of the structural support that gives the face its youthful contours.
Unlike slower, more gradual weight loss, the speed associated with GLP-1 therapies can outpace skin adaptation, making volume loss more visible and more pronounced — particularly in the mid-face.
What VOL.U.LIFT™ is and how it works
VOL.U.LIFT™ is a topical formulation developed by Dr Marc Ronert (plastic surgeon and founder of IMAGE Skincare) specifically to address facial changes associated with GLP-1 weight loss. It uses a 4D Skin Rebound Complex delivered via XOSM™ technology — a proprietary delivery system designed to reach the skin's lower layers.
Key active ingredients:
- L-Ornithine amino acid — supports volume restoration by promoting adipogenesis (fat cell regeneration)
- Bakuchiol — a plant-derived retinol alternative that supports skin firmness without irritation
- Kangaroo Paw Flower Extract — supports collagen synthesis and dermal architecture
VOL.U.LIFT™ works at a structural level to boost skin density and elasticity, support the dermal matrix, and improve the appearance of lifting and contour over time. It does not add physical volume in the way dermal fillers do — it supports the skin's own structural integrity.
Clinical results
Clinical trials have demonstrated visible improvement with consistent twice-daily use within four weeks, with optimal results by week twelve.



Photographs are unretouched. Individual results may vary. Data on file at IMAGE Skincare.
How to use
- Cleanse skin thoroughly
- Apply toner or serum if part of your routine
- Dispense a small amount of VOL.U.LIFT™ and massage gently into areas prone to volume loss — cheeks, jawline, temples, and under-eye area — using upward, lifting strokes
- Follow with moisturiser and SPF 50 in the morning
Use morning and evening for best results.
Using VOL.U.LIFT™ alongside other actives
VOL.U.LIFT™ works well as part of a broader skincare strategy for GLP-1-related skin changes. Prescription tretinoin stimulates collagen synthesis and improves skin texture — when used alongside VOL.U.LIFT™, it creates a dual pathway for addressing laxity and deflation. Peptide-based serums and exosome formulations can further support skin resilience and recovery during periods of rapid physiological change.
See our article on GLP-1 facial volume loss for a full overview of the causes and treatment approaches.
Frequently asked questions
Can VOL.U.LIFT™ replace dermal fillers?
No — VOL.U.LIFT™ is a topical skincare product that supports skin density, elasticity, and dermal architecture. It cannot add physical volume in the way dermal fillers do. It is a non-invasive option for those seeking to improve the appearance of skin quality and firmness, and may complement aesthetic procedures rather than replace them.
How long does it take to see results?
Clinical trials show visible improvement within four weeks of consistent twice-daily use, with optimal results at twelve weeks.
Can I use VOL.U.LIFT™ if I am not on GLP-1 medication?
Yes. While it is specifically formulated to address GLP-1-related facial changes, the active ingredients — L-Ornithine, bakuchiol, and Kangaroo Paw Flower Extract — are relevant to anyone experiencing facial volume loss, skin laxity, or reduced elasticity from any cause including natural ageing.
Can I use VOL.U.LIFT™ alongside tretinoin?
Yes. Apply tretinoin in the evening as part of your standard routine. VOL.U.LIFT™ can be used morning and evening. If using both in the evening, apply VOL.U.LIFT™ after tretinoin has absorbed.
Is GLP-1 facial volume loss permanent?
The physical fat loss may be long-lasting, but the appearance of sagging and volume depletion can often be improved with the right skincare strategy. Strengthening collagen support, improving dermal architecture, and maximising elasticity all contribute to a more lifted, firm appearance. Early intervention typically yields the most noticeable results.




